Saturday, November 2, 2024

UDLCO: Darjeeling mountains, batasia loop dimensionality reduction and optimising clinical complexity

UDLCO transcripts:


[06/07, 08:49] rb: Our supposed three dimensional reality, is actually an infinite series of two dimensional planes and sometimes when we are trying to navigate our existential blocks in moving forward, the solution lies in turning backward to shift our plane (aka frame shift) and then again move forward and upward.

Here's the video of the process:


And here's the story:

 In 1879 while building the Darjeeling railways over the steep Himalayas, work progressed in phases, with short distances being covered and tried. Hurdles were aplenty. The train could not negotiate the hair pin bends at several points. It is said that Herbert Rumsey, the contractor in charge of laying the tracks, was stuck for a solution. It was while he was ball dancing with his wife that her innocent remark showed a way out to his problems. All she said was that a backward turn, like in ball dance, could see him out of a corner. With that, the idea of Z reversals, a double loop at Chunbhatti and a single one at ‘Agony point’, were born. The Batasia Loop, to negotiate the steep descent, also came about from the same theory.


Here's a complementary video by a school student explaining dimensionality in a simple manner:



[06/07, 09:54] AI: Quite often folks worry about Batasia loop - proximal to Ghoom, the highest railroad station in India

The sticking parts actually show up near Sukna, that's where the tracks begin their climb. 

By the time the climb to Kurseong is done, the ghosts of Dowhill start haunting. 

Only if folks are willing to walk up Makaibari road, and take the trip to Darjeeling on muleback the loops and blocks are avoided. 

Nice video. Thanks for sharing. 

The problem was not as much in Batasia loop - Sweden draws carriages up a cantilever of rack and pinion. 

The issue is with the ticket counters at Sukna, maybe earlier Siliguri Jn, maybe even NJP where the journey purportedly begins for all tourists. We locals just take the bus from near Mahananda bridge via Hill Cart road. 

Now it's for folks to understand where the system, schooling, and experience pathways to entrepreneurship lie in India! 

For others, visit the Darj Hills with a local and the experience will be very different. 

(Palani ghat of Kodai is the nearest analogy. The train analogy shifted to Ooty)


[06/07, 09:58] rb: Fantastic analogies drawn to health IT! 👏👏

1) Avoiding complex loops!

Perhaps case based reasoning and predictive analytics could work here to show red flags to avoid?

2)It's not the anatomy always but the billing counters!

3) Local physicians and caregivers such as family members and the patient themselves are important stakeholders

[06/07, 10:07] PN: I am working with a renowned orthopaedic and the team believe that tracking of Vitals in longitudinal way will give AI a boost to give predictions , but making his fellow practitioners and hospital to believe that record vital of the patient not the prescription paper but on a device failed. We are still struggling to record vital for patient longitudinal when they visit clinics, hospital and we believe Google fit will be available everywhere..😉


[06/07, 10:12] rb: It's not just what are scientifically labeled as vitals (largely reflecting internal medicine)that are vital to optimising healthcare

Sometimes there are external medicine factors that are more important to capture to derive precision medicine actionable insights . For example, patients life events before and after the illness




CC licence: https://commons.m.wikimedia.org/wiki/File:Batasia_Loop_of_Darjeeling_Himalayan_Railway.jpg#mw-jump-to-license

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